Football & Cheerleading Coaching Application

 

 

PLEASE PRINT:

 

First Name: ________________­ Last Name: ___________________________ 

E-mail: ________________________  

 

Home Phone: (____) ______________Cell Phone: (____) _________________

Work Phone: (____) ________________

 

Address: ___________________________________

City, State, Zip: ________________________________________

 

Position applying for: Head Coach_____ Assistant Coach____ Student Coach______

Squad you would like to coach,

1st choice_______________________

2nd choice__________________________

Will you coach a squad other than the one your child is on _____________

Football/Cheerleading Experience:____________________________________________ Football/Cheerleading Coaching Training/Clinics:___________________________________________________

Any Other Relevant Skills or Training: ______________________________________________________________

List 3 goals you have for your squad if chosen

1) ________________________________________

2) __________________________________________

3) __________________________________________

 

References (church, organizations, other volunteer work):

1) _________________________________________

2) __________________________________________

3) _________________________________________

 

I certify that all information provided is correct and accurate to the best of my knowledge and I give my permission to investigate any information included in this application.  I also grant my permission to contact my references listed above.  I assume all risk and hazards incidental to such participation including transportation, and do hereby waive and otherwise hold harmless the Pleasant Valley Cubs Association, their officials, sponsors, coaches, and other participants.  I agree to sign and follow the Code of Conduct set forth by the Pleasant Valley Cubs.  I also agree to adhere to all the rules and regulation set forth by the Pleasant Valley School District.

 

 

_______________________________________                                          ____________

Signature of Applicant                                                                           Date